1046 form-2026

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The document outlines the Privacy Act information and application process for renewing educational delay from active duty for military personnel enrolled in graduate or professional school. It specifies the mandatory collection of personal information, including Social Security Number and mailing address, necessary for identification and enrollment at Womack Army Medical Center. The document details the conditions under which the delay may be granted or terminated, along with a medical certificate requirement.

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Click ‘Get Form’ to open the 1046 form in the editor.
In Part I, enter your name, complete address, and contact information. Ensure accuracy as this will be used for mailing purposes.
Proceed to Part II. Fill in your major field of graduate study, degree objective, and the name and address of your institution. Specify the expected date of degree award and the commencement and end dates for your delay.
If you are not requesting a renewal, complete Part III by indicating your intention not to apply for renewal.
In Part IV, read the conditions carefully. Sign to agree if you are requesting a renewal. If applicable, provide details about any medical conditions that may affect your service.
Finally, review all entries for accuracy before submitting the completed form back to U.S. Army Human Resources Command.

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